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<title>General Longstreet Recognition Project Enrollment Form</title>
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<p align="center"><font face="Arial" size="4"><b>GENERAL JAMES
LONGSTREET<br>
RECOGNITION PROJECT</b></font></p>
<p align="center"><font face="Arial" size="3">Enrollment Form</font></p>
<p align="center"><font face="Arial" size="2">(There is no financial
obligation associated with your
participation.)</font></p>
<p align="center"><font face="Arial" size="3">
<img border="0" src="images/checkbox-small.gif" width="18" height="17">
<i><b>Please list me/my organization as a supporter of <br>
the General Longstreet Recognition Project <br>
to memorialize this great leader whose courage as <br>
a soldier and politician inspired the nation.</b></i></font></p>
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<td width="104" height="20"><font face="Arial" size="3"><b><i>Organization</i></b>:</font></td>
<td width="306" height="20"><font face="Arial" size="3">____________________________________________________________</font></td>
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<td width="104" height="20"><font face="Arial" size="3"><b><i>Your Name</i></b>:</font></td>
<td width="306" height="20"><font face="Arial" size="3">____________________________________________________________</font></td>
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<td width="104" height="20"><font face="Arial" size="3"><b><i>Title</i></b>:</font></td>
<td width="306" height="20"><font face="Arial" size="3">____________________________________________________________</font></td>
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<td width="104" height="20"><font face="Arial" size="3"><i><b>Address</b></i>:</font></td>
<td width="306" height="20"><font face="Arial" size="3">____________________________________________________________</font></td>
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<td width="104" height="21">
<img border="0" src="images/space.gif" width="15" height="14"></td>
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<td width="104" height="20"><font face="Arial" size="3"><b><i>City/State/ZIP</i></b>:</font></td>
<td width="306" height="20"><font face="Arial" size="3">____________________________________________________________</font></td>
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<td width="104" height="21">
<img border="0" src="images/space.gif" width="15" height="14"></td>
<td width="306" height="21"></td>
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<td width="306" height="21"><font face="Arial" size="3">____________________________________________________________</font></td>
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<img border="0" src="images/space.gif" width="15" height="14"></td>
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<td width="104" height="20"><font face="Arial" size="3"><b><i>Telephone</i></b>:</font></td>
<td width="306" height="20">
<p align="left"><font face="Arial" size="3">____________________________________________________________</font></td>
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<td width="104" height="21">
<img border="0" src="images/space.gif" width="15" height="14"></td>
<td width="306" height="21"></td>
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<td width="104" height="20"><font face="Arial" size="3"><i><b>Fax</b></i>:</font></td>
<td width="306" height="20"><font face="Arial" size="3">____________________________________________________________</font></td>
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<td width="104" height="21">
<img border="0" src="images/space.gif" width="15" height="14"></td>
<td width="306" height="21"></td>
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<td width="104" height="20"><font face="Arial" size="3"><b><i>E-mail</i></b>:</font></td>
<td width="306" height="20"><font face="Arial" size="3">____________________________________________________________</font></td>
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<td width="104" height="21">
<img border="0" src="images/space.gif" width="15" height="14"></td>
<td width="306" height="21"></td>
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<td width="104" height="20"><font face="Arial" size="3"><b><i>Signature</i></b>:</font></td>
<td width="306" height="20"><font face="Arial" size="3">____________________________________________________________</font></td>
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<p align="center"><font face="Arial" size="3">Donations to the General
Longstreet Recognition Project (GLRP)</font></p>
<p align="center"><font face="Arial">are tax-deductible under IRS Code
501(c)(3) with checks payable to:</font></p>
<p align="center"><b><font face="Arial">The Agribusiness Council - GLRP</font></b></p>
<p align="center"><b><font face="Arial" size="3">P.O. Box 5565<br>
Washington, D.C. 20016</font></b></p>
<p align="center"><font face="Arial" size="3">You will receive
invitations to memorial events,<br>
planning meetings and related
activities.</font></p>
<center>
<p align="center"><font face="Arial" size="3">Thank you!</font></p>
<p align="center"><b><font face="Arial" size="2">"Leadership
Education and Character Development through Historical Scholarship"</font></b></p>
<p align="center"><b><a href="longstreet.htm"><font face="Arial" size="2">Longstreet
Recognition</font></a></b></p>
<p align="center"><a href="contribution_form_gl.htm"><b><font size="2">Contribution
Form</font></b></a></p>
<p align="center"><b><a href="default.htm"><font face="Arial" size="2">Home</font></a></b></p>
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